<div class="form-group" {guanlians}>
	<label class="col-xs-12 col-sm-3 col-md-2 right-label">{{check_show_lang('{title}')}}</label>
	<div  class="col-xs-12 col-sm-8 col-lg-9">
		<div  class="col-xs-12 col-sm-6 col-lg-6" style="padding-left:0">
			<div class="input-group">
					<span class="input-group-addon">{title1}</span>
					<input class="form-control" ng-model="{tovalue}.{name1}"  type="text" ng-readonly="{read}">
					<span ng-if="{unit1}" class="input-group-addon">{unit1}</span>
			</div>
		</div>
		<div  class="col-xs-12 col-sm-6 col-lg-6">
			<select class="form-control" ng-model="{tovalue}.{name2}">
				<option value="" selected>{{check_show_lang('{title2}')}}</option>
				<option ng-repeat="(v,t) in {pagevalue}.{options}" ng-selected="{tovalue}.{name2}==v" value="{{v}}" >{{check_show_lang(t)}}</option>
			</select>
		</div>
		<div class="help-block">{help}</div>
	</div>
</div>